By default, it makes brand new prefixes, has profiles for well known apps to configure the prefixes accordingly, including managing downloading the installers.
Their fixes and changes to their version of WINE are almost always upstreamed, so eventually you do get those features in OSS WINE, but that's honestly never been the reason to get it. It's the much more friendly UX, and for those using WINE in business environments, a channel to get support for the framework.
For those that want better prefix management for their home projects, there are plenty of OSS projects doing that now. Whisky for macOS, and Bottles for Linux are two fine alternatives to help keep WINE prefix hygiene without it, but neither come with the "we can install this business app for you with no hassle" concierge features.
These folks do know WINE well though. There's a reason they're working with Valve on Proton, and why so many of the commits to WINE come from them.